Dr. Andrea Ellen Clark Shah
M.D. | Pediatrics | Female
Dr. Andrea Ellen Clark Shah, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Andrea Ellen Clark Shah is
14810 Old Saint Augustine Rd Ste 106, Jacksonville, Florida - 32258-2558. She can be contacted on phone at
904-268-7701 and fax number 904-268-9708.
Dr. Andrea Ellen Clark Shah is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Andrea Ellen Clark Shah is
1487987491 which was assigned by NPPES on 09 Sep, 2009 and it was last updated on 28 Dec, 2018.
Dr. Andrea Ellen Clark Shah license number is
ME91797 for Pediatrics (208000000X) in Florida.
Dr. Andrea Ellen Clark Shah is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Andrea Ellen Clark Shah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Andrea Ellen Clark Shah |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Andrea Ellen Clark Shah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 14810 Old Saint Augustine Rd Ste 106
Jacksonville, FL, 32258-2558
United States |
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| Phone Number : | 904-268-7701 |
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| Fax Number : | 904-268-9708 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1487987491 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Sep, 2009 |
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| Last Updated On : | 28 Dec, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Andrea Ellen Clark Shah are as mentioned. Primary taxonomy code for Dr. Andrea Ellen Clark Shah, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME91797 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Andrea Ellen Clark Shah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 008434500 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 45443
Salt Lake City, UT, 84145-0443
United States |
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| Phone Number : | 904-202-1032 |
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| Fax Number : | 904-376-4107 |
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Business Location:
Patients can refer following map for directions to
Dr. Andrea Ellen Clark Shah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.